Laser Guidance in C-Arm Cone-Beam CT-Guided Radiofrequency Ablation of Osteoid Osteoma Reduces Fluoroscopy Time

Kroes, Maarten W.; Busser, W.; Hoogeveen, Yvonne L.; Lange, Frank de; Kool, Leo J. Schultze

doi:10.1007/s00270-016-1533-9

Cited by 6 publications

(5 citation statements)

References 18 publications

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“…also found that the O‐arm and stealth navigation lowered radiation exposure compared with the traditional CT‐guided technique 7 . In addition, adding laser guidance to CBCT‐guided osteoid osteoma RFA significantly reduced fluoroscopy time without increasing procedure time compared to freehand CBCT guidance 12 …”

Section: Discussionmentioning

confidence: 85%

“…7 In addition, adding laser guidance to CBCT-guided osteoid osteoma RFA significantly reduced fluoroscopy time without increasing procedure time compared to freehand CBCT guidance. 12 Feasibility and Effectiveness of TiRobot-assisted Percutaneous RFA In our study, 3D imaging combined with The iRobot were introduced for guidance in osteoid osteoma RFA. The procedure was successfully performed on all 21 patients without peri-operative complications.…”

Section: Discussionmentioning

confidence: 99%

“… 7 In addition, adding laser guidance to CBCT‐guided osteoid osteoma RFA significantly reduced fluoroscopy time without increasing procedure time compared to freehand CBCT guidance. 12 …”

Section: Discussionmentioning

confidence: 99%

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Robot‐assisted Percutaneous Radiofrequency Ablation for the Treatment of Osteoid Osteomas

Li,

et al. 2024

Orthopaedic Surgery

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ObjectivePercutaneous CT‐guided radiofrequency ablation (CT‐RFA) is a widely accepted procedure for treatment of osteoid osteomas. However, the application of CT‐RFA was restricted as a result of some drawbacks, such as radiation exposure, and inconvenience in general anesthesia. The primary aim of this study is to evaluate the safety and efficacy of intra‐operative TiRobot‐assisted percutaneous RFA of osteoid osteomas.MethodsWe retrospectively reviewed 21 medical files of patients who were treated with percutaneous RFA of osteoid osteomas guided by the TiRobot system in our institution between March 2021 and April 2022. The three‐dimensional images obtained by a 3D C‐arm intra‐operatively were sent to the TiRobot system. The puncture point and trajectory were designed. Then the guide pin was positioned to the lesion with the assistance of TiRobot and the biopsy sheath was inserted into the lesion through the guide pin. The tumor was biopsied for pathological examination. Then the RFA needle was inserted into the nidus through the biopsy sheath for thermal ablation. Data were extracted on the associated complications, the reduction in pain at 1 month and 1 year postoperatively assessed by the visual analogue scale (VAS). A paired t‐test was used to compare the pre‐operative and post‐operative VAS scores.ResultsThe patients included 17 males and four females with a mean age of 19.5 ± 10.4 years (range 3–45 years). Lesions were located on the femur in nine cases, on the tibia in nine cases, on the humerus in one case, on the calcaneus in one case, and on the acetabulum in one case. TiRobot‐assisted percutaneous RFA was successfully performed on all 21 patients. There was no intra‐operative or post‐operative complications observed. Pathological diagnosis of osteoid osteoma was obtained in 11 patients, but the other 10 cases were not pathologically diagnosed. The mean follow‐up time was 18.8 months (range: 12–26 months).Post‐operative VAS scores were reduced significantly in all cases. The mean VAS score decreased from 6.5 pre‐operatively to 0.5 at 1 month post‐operatively and to 0.1 at 1 year post‐operatively.ConclusionAs a reliable technique for localizing and resection of nidus, TiRobot‐assisted percutaneous RFA is a safe and effective option for the treatment of osteoid osteomas.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

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Robot‐assisted Percutaneous Radiofrequency Ablation for the Treatment of Osteoid Osteomas

Li,

et al. 2024

Orthopaedic Surgery

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“…C-arm CBCT provides vast cross-sectional tomographic images, so-called CT-like images, to the surgeon intraoperatively by using the C-arm and flat panel detector angiographic systems [10]. The CT-like images can be simultaneously displayed with conventional fluoroscopic images in real time [18]. In addition to the clear intraoperative visualization, C-arm CBCT enables real-time guidance and monitoring of the tumor resection and easy evaluation of post-resection results, and confers lower risk of intraoperative contamination that can occur while moving the patient in and out of the CT scanner and decreased radiation exposure as compared with the conventional CT [9,10].…”

Section: Discussionmentioning

confidence: 99%

C-arm cone-beam computed tomography-guided minimally invasive open excision of an osteoid osteoma undetectable on fluoroscopy: A case report

Higuchi

Yamamoto

Hayashi

et al. 2019

International Journal of Surgery Case Reports

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Highlights A robotic C-arm cone-beam computed tomography (CBCT) system provides a clear intraoperative visualization of the osteoid osteoma. C-arm CBCT allowed precise access to the tumor, accurate tumor resection, and minimal sacrifice of the normal bone in osteoid osteoma surgery. Repurpose use of the dilator, retractor, and wider trephine tips achieved more conservative results with a smaller skin incision.

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“…When precise biopsy needle positioning is difficult to achieve, CBCT application can help in choosing the best approach, precise tracking and detection of errors in the operating room. The reduction of cumulative dose to patient and staff can be achieved by reduction of fluoroscopy time due to the usage of CBCT guidance [ 28 , 30 ]. Fusion with MRI for precise lesion targeting has been reported as well [ 31 ].…”

Section: Interventional Radiology and Future Developmentsmentioning

confidence: 99%

Cone beam CT of the musculoskeletal system: clinical applications

2018

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ObjectivesThe aim of this pictorial review is to illustrate the use of CBCT in a broad spectrum of musculoskeletal disorders and to compare its diagnostic merit with other imaging modalities, such as conventional radiography (CR), Multidetector Computed Tomography (MDCT) and Magnetic Resonance Imaging.BackgroundCone Beam Computed Tomography (CBCT) has been widely used for dental imaging for over two decades.DiscussionCurrent CBCT equipment allows use for imaging of various musculoskeletal applications. Because of its low cost and relatively low irradiation, CBCT may have an emergent role in making a more precise diagnosis, assessment of local extent and follow-up of fractures and dislocations of small bones and joints. Due to its exquisite high spatial resolution, CBCT in combination with arthrography may be the preferred technique for detection and local staging of cartilage lesions in small joints. Evaluation of degenerative joint disorders may be facilitated by CBCT compared to CR, particularly in those anatomical areas in which there is much superposition of adjacent bony structures. The use of CBCT in evaluation of osteomyelitis is restricted to detection of sequestrum formation in chronic osteomyelitis. Miscellaneous applications include assessment of (symptomatic) variants, detection and characterization of tumour and tumour-like conditions of bone.Teaching Points • Review the spectrum of MSK disorders in which CBCT may be complementary to other imaging techniques. • Compare the advantages and drawbacks of CBCT compared to other imaging techniques. • Define the present and future role of CBCT in musculoskeletal imaging.

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Laser Guidance in C-Arm Cone-Beam CT-Guided Radiofrequency Ablation of Osteoid Osteoma Reduces Fluoroscopy Time

Cited by 6 publications

References 18 publications

Robot‐assisted Percutaneous Radiofrequency Ablation for the Treatment of Osteoid Osteomas

Robot‐assisted Percutaneous Radiofrequency Ablation for the Treatment of Osteoid Osteomas

C-arm cone-beam computed tomography-guided minimally invasive open excision of an osteoid osteoma undetectable on fluoroscopy: A case report

Cone beam CT of the musculoskeletal system: clinical applications

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